Individual provider Active NPI

Skylar Scott Valles, LCSW

  • Clinical Social Worker
  • Anaheim, CA
National Provider Identifier
1033694237
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100714 Issued in CA
Practice address
2531 W Woodland Dr
Anaheim, CA 92801-2637
Phone
(714) 226-9888
Fax
(714) 226-9887
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 100714 CA Primary

Addresses

Primary practice location

2531 W Woodland Dr
Anaheim, CA 92801-2637

Mailing address

10641 Teal Dr
Garden Grove, CA 92843-3333
Phone (714) 932-6201

Other practice location 1

17215 Studebaker Rd Ste 110
Cerritos, CA 90703-2521
Phone (714) 932-6201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812003045 CA Practitioner - Clinical Social Worker 1456734185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Jun 1, 2022 Accepting new patients
Telecare Corporation CurrentSince Jun 1, 2022 Accepting new patients
Telecare Corporation Current Accepting new patients
Rite of Passage Adolescent Treatment Centers and Schools, Inc. PastSince Jun 1, 2021 Accepting new patients
Kedren Community Mental Health Center Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

2531 W Woodland Dr
Anaheim, CA 92801
Phone (714) 338-1017

615 W Civic Center Dr
Fl D2
Santa Ana, CA 92701
Phone (714) 245-6881

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1033694237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 TEAL DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433333",
            "telephone_number": "714-932-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 W WOODLAND DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012637",
            "telephone_number": "714-226-9888",
            "fax_number": "714-226-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17215 Studebaker Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907032521",
            "country_code": "US",
            "telephone_number": "714-932-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "SKYLAR",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.